HomeMy WebLinkAboutPreserve Saratoga Semi 2- Form 460COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement c vers period
from / �� J2
through
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall Controlled
(Also Comp We Part 5) S ponso red
(ALo Complefe Part 6)
General Purpose Committee
Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also CompktePart 7)
3. Committee Information I I.D. NUMBER
1 y) 2. 3 �I` 2-
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
FRe.s u ve., &t-lb4
STREET ADDRESS (NO P.O. BOX)
/4L131
STATE ZIP CODE AREACODE/
ADDREWF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
2. Type of Statement:
Date Stamp
RECEIVED(Lb
AUG Q 9 Page
CITY OF SARA.TOGA
❑ Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
;t-t_:FPAg,f I gc l' R A—
MAILINGADDRESS _ A
MAILING ADDRESS
on vo8
STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is
on
Date
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. ,
Statement co ers period CALIFORNIA
from % Z / • '
SEE INSTRUCTIONS ON REVERSE
through J �• Page / of Z
NAME OF FILER
I.D. NUMBER
�Ke5enA, �a�w�o �
/y/ 23-3 Z-
Contributions Received
TOTAL A
THIS PERIOD
Column B
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions..................................................
Schedule A, Line 3
$ $
0
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule e, Line 3
(2
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$ d $
n
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
ei
r)
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ................................
Add Lines 3+4
$ C'5 $
Made $ $
Expenditures Made
6.
Payments Made...............................................................
ScheduleE, Line $ C2
7.
Loans Made.......................................................................
Schedule H, Line 3 U
8.
SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7 $ U
9.
Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3 Q
10.
Nonmonetary Adjustment.........................................................Schedule
C, Line t'>
11.
TOTAL EXPENDITURES MADE....................................Add
Lines 6+9+10 $ C`5
current Gash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $
13. Cash Receipts........................................................... Column A, Line 3 above C>
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 e7
15. Cash Payments......................................................... Column A, Line 6 above t�
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ d
19. Outstanding Debts .............................. Add Line 2+Line 9 in Column a above $ �08
$
0
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
IJ $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov